It's still the old rule to read ** and answer some questions to netizens every day, and today I received a new netizen who left me a message asking about the thyroid gland. For thyroid nodules, there are often two extremes in the outpatient clinic, one is to ignore it and think it is a trivial matter; The other is that after discovering the nodule, they are very panicked and always worry that the nodule will become malignant, neither of which is true. Here is a reminder that these four misunderstandings need to be clarified and avoided.
Myth 1: Nodules that have been safe for many years. Isn't it left alone?
After the nodule is found, the nature of the nodule should be judged first, if it is a benign nodule that is asymptomatic and does not affect health and appearance, it can be followed up for observation, not for the time being, choose dynamic observation, but keep in mind that it is necessary to revisit the nodule in time according to the situation of the nodule and individual characteristics, do not wait until there is a malignant or serious situation to take measures, and then it may be "a small illness to become a major disease", it is too late.
Myth 2: Is it once and for all to cut the nodule? Clinically, after the nodule is found, the first evaluation should be performed to determine the diagnosis and treatment plan. If a follow-up regimen is used, it may take 3 to 6 months or even longer, such as a follow-up visit once a year, to maintain dynamic monitoring. The final decision on whether to operate is to evaluate the nature of the nodule, the impact and harm of the nodule, and whether to treat it is a pros and cons. Although surgery is indeed the most thorough treatment, it is not recommended to remove the nodule as soon as it is found. On the one hand, it is very likely that it will not be able to be **, and it will grow again, on the other hand, the operation has a certain amount of trauma, which is very damaging to the human body.
Myth 3: When the nodule reaches 4 cm, it is necessary to undergo total resection?
In fact, many people have a misunderstanding that the nodule should be cut when it is large, but in fact, the size of the nodule is not an absolute indicator for judging surgery, such as 4 cm, this value is only a relative limit, for reference only.
Myth 4: Does thyroid surgery affect vocalization?
During surgery to remove thyroid nodules, there may be changes in speech that affect the activity of the vocal cords, and there is a certain probability of hoarseness or changes in pronunciation, but the probability of occurrence is extremely low. At the same time, the doctor will take targeted protective measures to prevent such situations from happening, so there is no need to worry too much.